PECULIARITY OF SKELETAL DAMAGES IN OBESE PATIENTS SUFFER POLYTRAUMA

Abstract

On the clinical material 107 patients with combined body injury found the characteristic features of skeletal injuries depending on the body mass indexwere revealed, while the specific physiological processes of obesity form the basis for more serious injuries due to the resulting injury, in particular skeletal, and high risk degrees of developing complications, often even to the fatal consequences. The studies were conducted in two stages, at the first stageskeletal lesions divided depending on their shockogenic effect on the body into three categories. The first category included fractures of the bones of the upper limb, leg bones and feet (25; 23.4 %); the second one were fractures of the thigh (37; 34.6 %); the third – fractures of the pelvic bones (33; 30.8 %). At the second stage, the obtained results were structured in clinical groups of patients. The latter showed the severity of the resulting skeletal damage depending on the body mass index. Thus, the patients of the I group dominated by fractures of the upper limb bones (11 patients, 10.3 %), and in 5 cases (4.7 %), fractures of the tibia were determined. Femur fractures were prevalent in the 2-nd clinical group, and the least in patients with normal body weight. Patients sufferof the II-III obesity degree(3-rd clinical group) was dominated by severe skeletal trauma, in particular, thigh fracture was diagnosed in 9 (8.4%), and fracture of the pelvic bones - in 18 (16.8 %) patients. In the process of treatment, the stabilization of thigh fractures and pelvic bones was initially carried out by means of external fixation devices, which allowed the skeletal damage to be immobilized as quickly as possible. The mentioned manipulations were an integral part of the program of differentiated complex treatment in the first period of traumatic illness, which created the basis for obtaining positive results of treatment. The obtained results showed that severity of skeletal injuries is directly proportional to the body mass increase increasing.